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Authors
Affiliations
1 Department of Paediatrics, ESI PGIMSR, Basaidarapur New Delhi, IN
2 Department of Paediatrics, DDU Hospital, New Delhi, IN
Source
Journal of Clinical Pediatric Nephrology, Vol 2, No 1 (2014), Pagination: 74-76
Abstract
Objective: To determine the prevalence of asymptomatic bacteriuria in malnourished children and its correlation to the severity of Protein Energy Malnutrition. Design: Prospective cross-sectional observational study. Participants: 150 malnourished children (1-5 years) attending pediatric OPD with no obvious localization of urinary tract infection. Methods: Urine samples were collected by suprapubic aspiration and examined for microscopy and culture sensitivity to evaluate the presence of asymptomatic bacteriuria. Results: Out of 150 malnourished children, 80 (53.3%) were males and 70 (46.7%) were females and the mean age was 39.12 months. The overall prevalence of asymptomatic bacteriuria was found to be 6.6%. It was 15.9% in grade IV, 4.6% in grade III, 3.1% in grade II, none in grade I PEM. There was significant statistical correlation between asymptomatic bacteriuria and severity of PEM. Conclusion: Due to the subtle presentation of urinary tract infection in undernourished population, urine from all such children should be routinely screened for the presence of asymptomatic bacteriuria and the urine sample may be collected by suprapubic aspiration.
Keywords
Asymptomatic Bacteriuria (ABU), Protein Energy Malnutrition (PEM), Urinary Tract Infection (UTI)
